Organization
FAMILY TREE PSYCHOLOGY GROUP INC.
Active
Other names
Family Tree Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELINDA M MANN PHD (CEO)
(415) 515-6234
Entity
Organization
Contact information
Practice address
3655 GRAND AVE, OAKLAND, CA 94610-2009
(510) 858-7649
Mailing address
3655 GRAND AVE, OAKLAND, CA 94610-2009
(510) 858-7649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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